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Kidney Problems in Pregnancy

This entry is part 5 of 5 in the series Dr Joycelyn

Kidney Problems in Pregnancy

Signs of Kidney Problems in Pregnancy is more common that you think. The urine you submitted for pregnancy test came back positive. Your heart leaped for joy. You can’t contain your happiness. You have to tell everyone close to you about the good news. Suddenly, your heart sank. The burst of joy now gone – and that is because you just remembered: you have chronic renal failure.
Pregnancy causes a myriad of changes within the female body. It slightly changes the way some major organs function to accommodate and sustain the growing life within your uterus. The urinary system also undergoes some predictable physiological changes during pregnancy, changes that also happen even if you have chronic renal disease.

Listed below are the top four things you need to know about chronic renal disease in pregnancy:
Chronic renal disease in pregnancy is not common
There are only a few cases of chronic renal disease in pregnancy. According to a study published by Obstetrics and Gynecology, chronic renal disease in pregnancy only happens in 0.03 to 0.12 percent of all pregnancies in the United States.
Many maternal complications can happen because of chronic renal disease
Chronic renal diseases can cause diverse complications in pregnancy including: (1) preeclampsia, the development of high blood pressure after the 20th week of pregnancy; (2) worsening of kidney function; (3) preterm delivery; (4) anemia, the condition of low red blood cell level; and (5) possible delivery through caesarian section.
You have a good chance of having a healthy baby despite your renal problem
It’s true: you will encounter many obstacles and health complications during your pregnancy because of your kidney problem; but this doesn’t mean you can’t have a healthy baby after all you have been through. A study released by Obstetrics and Gynecology reveals that mothers with chronic renal disease have a 64 to 98 percent chance of delivering a healthy and very much alive baby despite their kidney problem and this all depends on the severity of the renal insufficiency and presence of high blood pressure during pregnancy.
Chronic renal disease in pregnancy is medically manageable
Are you are pregnant kidney patient? Don’t lose heart. Chronic renal disease in pregnancy is medically manageable. However, your obstetrician needs to make a multidisciplinary approach to make this happen. Your physician may need to manage you in a tertiary hospital setting, together with a maternal-fetal medicine specialist and a nephrologist present, to assess and manage your case, says another study published by Obstetrics and Gynecology. After giving birth, you still need to have regular visits and monitoring of your kidney function (up to 5 years postpartum) to ensure your utmost health and safety.
Reference:
Obstetrics and Gynecology; Chronic renal disease in pregnancy; Ramim, S.M. et al; December 2006
Obstetrics and Gynecology; Management of women with chronic renal disease in pregnancy; Kopoor, N. et al; 2009

Dr. Jocelyn Ibanez-Pantaleon is a physician and a professional blogger. Her greatest passion is to share her knowledge about disease prevention through healthy living. Through her articles, she strives to make a difference by educating patients about chronic health problems, such as kidney diseases, hypertension and diabetes.
Dr. Jocelyn